MEDICARE: JOHNY ELIE FARES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD484433	PA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207RR0500X	Rheumatology Physician	MD484433	PA

General Provider Information

NPI Number	:	1942761051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHNY ELIE FARES MD

Provider Business Mailing Address
First Line	:	3803 W CHESTER PIKE STE 160
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-2336
Country	:	US
Telephone Number	:	484-337-1632
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 E LANCASTER AVE
Second Line	:	MOB WEST SUITE 135
City	:	WYNNEWOOD
State	:	PA
Zip	:	19096-3435
Country	:	US
Telephone Number	:	484-476-1190
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2019
Last Update Date	:	08/07/2024

Similar Medicare Providers

1154586741 — DR. FREDY O CHAPARRO M.D.
Practice Location Address:

100 E LANCASTER AVE STE 556
WYNNEWOOD, PA
19096-3435

Practice Phone: 610-896-0210
Practice Fax: 610-896-5101

1831484138 — DR. JOHN MICHAEL CLARK D.O.
Practice Location Address:

100 E LANCASTER AVE , HEART PAVILION MEZZANINE LEVEL
WYNNEWOOD, PA
19096-3435

Practice Phone: 484-476-1000
Practice Fax:

1235588278 — GENEVIEVE MARIE SANTAYANA DO
Practice Location Address:

100 E LANCASTER AVE STE 556
WYNNEWOOD, PA
19096-3435

Practice Phone: 610-896-7424
Practice Fax:

1891227468 — STEVEN LISKOV
Practice Location Address:

100 E LANCASTER AVE , HEART PAVILION MEZZANINE LEVEL
WYNNEWOOD, PA
19096-3435

Practice Phone: 484-476-1000
Practice Fax:

1306307335 — DR. KYLE FITZGERALD NELSON MD
Practice Location Address:

100 E LANCASTER AVE , LANKENAU HEART PAVILION, MEZZANINE LEVEL
WYNNEWOOD, PA
19096-3435

Practice Phone: 484-476-1000
Practice Fax:

1700743630 — NANCY JOHNSON
Practice Location Address:

100 E LANCASTER AVE
WYNNEWOOD, PA
19096-3450

Practice Phone: 484-337-3114
Practice Fax:

Directions to “ JOHNY ELIE FARES MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.